Cultural influences on medical disclosure.

Personal freedom and individualism are highly valued in Anglo-American culture and consequently in healthcare. However, not all cultures recognize the value of these principles. Healthcare can be compromised when the patient's cultural context differs from that of the clinician. Culture and its influences on the disclosure of health-related information are described. Self-determination from an historical perspective, the role of the family, and a deeper understanding of paternalism as they relate to cultural issues are illustrated through a case study. Suggestions for creating a culturally relevant healthcare practice is presented.